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Are public sector managers a "bureaucratic burden"? The case of English public hospitals

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Veronesi, Gianluca, Kirkpatrick, Ian and Altanlar, Ali (2019) Are public sector managers a "bureaucratic burden"? The case of English public hospitals. Journal of Public Administration Research and Theory, 29 (2). pp. 193-209. doi:10.1093/jopart/muy072

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Official URL: https://doi.org/10.1093/jopart/muy072

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Abstract

Although managers are, globally, a central part of the new public management reform agenda, in recent years policy makers, the media and the general public have raised concerns about their effectiveness and contribution. In some countries, notably the UK and the US, this debate has been heavily influenced by Public Choice Theory (PCT), which depicts ‘bureaucrats’ as rent seeking, self-serving individuals. In this study, focusing on the case of acute care hospital trusts in the English National Health Service, we formally test whether public sector managers represent a ‘bureaucratic burden’. Using a longitudinal database spanning six years (2007-2012) and employing a dynamic panel data model, the findings reveal that, contrary to PCT assumptions, managers do not engage, in the main, in rent seeking behaviour and, crucially, appear to have a positive impact on organisational performance. Implications for theory, policy and practice are discussed.

Item Type: Journal Article
Subjects: R Medicine > RA Public aspects of medicine
Divisions: Faculty of Social Sciences > Warwick Business School > Entrepreneurship, Innovation & Management
Faculty of Social Sciences > Warwick Business School
Library of Congress Subject Headings (LCSH): Hospitals -- Administration, Hospitals -- Business management, Great Britain. National Health Service
Journal or Publication Title: Journal of Public Administration Research and Theory
Publisher: Oxford University Press
ISSN: 1053-1858
Official Date: April 2019
Dates:
DateEvent
April 2019Published
9 December 2018Available
28 October 2018Accepted
Volume: 29
Number: 2
Page Range: pp. 193-209
DOI: 10.1093/jopart/muy072
Status: Peer Reviewed
Publication Status: Published
Publisher Statement: This is a pre-copyedited, author-produced version of an article accepted for publication in Journal of Public Administration Research and Theory following peer review. The version of record Gianluca Veronesi, Ian Kirkpatrick, Ali Altanlar; Are Public Sector Managers a “Bureaucratic Burden”? The Case of English Public Hospitals, Journal of Public Administration Research and Theory, , muy072, is available online at: https://doi.org/10.1093/jopart/muy072
Access rights to Published version: Restricted or Subscription Access
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